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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALl�LUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �wvw.everettwa.org <br /> 6 -a-�s <br /> SITE ADDRESS: PROPERIY TAX a ZSO40200300300 PE ir a <br /> 2215 �lerril Creck Pkwy Q — � � <br /> LEGAL lor new conslruction: Short Plausu�tlrvislon see Dw9s Lot No._ (attach copY of long legal tl�scripuon) <br /> OWNER y�►o Pro eC�1CS Pnone�E-ma�l <br /> ,�daress 9309 Olympie Vie«� Dr Cny�Stale�Zip F.dmonds 1NA 98020 <br /> APPLICANT:_Owner �`Owner'sAgenl _Conlratlor _Conlraetor'SAgent _Tenani�T�sic�o.ceaiene�o!co�se=ivo�v�ec..n<<ioa.on�mmex�.�ce� <br /> CONTRACTOR �:1SIfC ��\�ICt�eSS $O�UftOI7S State lic. # CC��[ASTI:NS!tiGhN c�iy e�,s Lic # <br /> 153�35 1=arificld Ranch ltd Chino Hills CA 91709 Pno���Ema�i -���il I � '7��C�JYY1 `{���'4 <br /> naaress 4 i��(., <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT IS ,� I (_� <br /> ATCT Danicl I3aum �'1-Q,� °�$OQ -] �� <br /> pnone�E�mai� �Ofi fiF 1-R053 <br /> BUILDING PERMIT APPLICATlON CONTRACT PRICE OF WORK �ti��1� <br /> Ezist�ng Use of Bwld�ng H[AT SOURCE <br /> Proposetl Use ol Building Gas Eieur�c omcr <br /> Building type� _Single Famdy _Duplez_Townhouse _tvtulh-Famdy \ Commr_raal <br /> T pe ol Dro�ect. New Addnion Remodel Re air \ T.I Si n 5 rinkler Demoi�hon Chan e of Use <br /> DESCRIPTION OF WORK(add,rionai space pmvided on me bacN) <br /> AT�C'I' proposes to rcmove and replace 3 antennas and change the mowu to a ncw lo�v profelc platfonn on a� <br /> esisling lon�er. Adding 6 balleries to an existing batlery cabinet on esis[ing equipment pladi�rm <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _New_Atltln _Al�eration_Repair Type ol Projech _New_Adtln _Al�eration_Repair <br /> Show Number(M)of 6xfures Show NumDer(p)ol lixfures <br /> A!C—av handlin units Totlel <br /> Forced air svsiems �athtub <br /> Gas i in Lavalor wash basin <br /> Waler healer Shawer <br /> Gas fire Iace Kitchen smk&dis osal <br /> Gas ran e D�shwasher <br /> Clothes dr er Clothes washer <br /> Ranne hood Watei healer <br /> Fxhaust lan Sink servicNbadmo 7elc <br /> Heat um �ackllow reventer mside bld <br /> Unit heater Urinal <br /> Bader Drmkm Founlam <br /> Reln eralion Floor drain <br /> Woodstove Grcase Ira <br /> Ducl�n Rool drains <br /> Olher Med�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Olher <br /> Number ol Neatls Olher <br /> I OereOy certdy i�ai 1�ave re�tl an0 eramineC 1��5 appl.ca;ion antl know I�e same la Ce Ime anC corrcct.All pions�oni ol laws antl oiCrnances governin9 ih:s lypr ol work w:l be comp: <br /> xiln w�et�er speufiea hClein or nol 7he 9ranling ol a petm�l aoes nol presume Io grce aul�oMy lo vielale or cancel lhe p�ovison of any olher stale or lu.^al law re9ulalm9 conslmclion <br /> inal I am aulnonxed by Ine owner ol ln�s prepeny to pede�m me�.orV.Is v.h�cn.pcl.cation is matle and I comply wah I�e Slate CanVanon Ww 18.27 RCW an0 296.200A WAC <br /> ll <br /> (Z <br /> OwnedAuthorized Agent SignaWre Dalc (Revaetl 42015J <br />